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Individual
IAN CORBETT
Active
Individual
IAN CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TP19032
ME
207Q00000X
Family Medicine Physician
TP21080
ME
Other
Enumeration date
05/14/2019
Last updated
01/25/2022
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